Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,913.74 / $4,913.74 / $19,016.20	Facility		$4,913.74	$4,913.74	$19,016.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,817.39 / $5,202.78 / $6,942.36	Professional		$4,817.39	$5,202.78	$6,942.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8,378.41 / $11,003.20 / $11,003.20	Professional		$8,378.41	$11,003.20	$11,003.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $13,111.76	Facility		$8,302.44	$8,302.44	$13,111.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $6,060.78 / $11,481.11	Professional		$6,060.78	$6,060.78	$11,481.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12,062.82 / $13,111.76 / $24,912.34	Professional		$12,062.82	$13,111.76	$24,912.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,913.74 / $4,913.74 / $19,016.20	Facility		$4,913.74	$4,913.74	$19,016.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,817.39 / $5,202.78 / $8,337.93	Professional		$4,817.39	$5,202.78	$8,337.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,881.10 / $17,882.70 / $25,832.50	Professional		$8,881.10	$17,882.70	$25,832.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $13,111.76	Facility		$8,302.44	$8,302.44	$13,111.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $6,060.78 / $14,878.88	Professional		$6,060.78	$6,060.78	$14,878.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,257.88 / $5,257.88 / $10,473.01	Facility		$5,257.88	$5,257.88	$10,473.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,257.88 / $10,473.01 / $12,479.97	Professional		$5,257.88	$10,473.01	$12,479.97
United Facility/Professional Professional Modifier Low / Median / High Price $5,146.41 / $6,541.31 / $9,825.51	Professional		$5,146.41	$6,541.31	$9,825.51